What Causes Pain In The Right Ankle?

Posted on Tue, 5 Jul 2016

Question: Hello XXXXXXX recently i have developed with pain in my right leg ankle and particularly it is felt when I rest my foot on floor after waking up in morning and with-in few mins (1-2 mins), I see the pain no more felt. Again during day, whenever I get up from long resting (like sitting on chair or driving) I feel the pain .. but not as much as morning. But again, it vanish or not felt after 20-30 odd steps. Can you please help me what could be the source for this ? I don't have any issue with left leg.

Answered by Dr. Dr. Naveen Kumar Sharma (35 minutes later)

Brief Answer:
I need little more detail of the illness

Detailed Answer:
Hello Mr XXXXXXX
I have studied your case. Pain in right ankle can be due to many reasons. Most probably it is tenosynovitis. I want to know little detail of the illness so that I can answer you in better way.
1.Can you tell me exact location of pain. Better to mark that area with pen and send me that image.
2.Do you stand for long time or wear shoes all the time.
Please send me answers of these questions. I will try my best to help you.
thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Naveen Kumar Sharma (17 hours later)

Hi thanks for the inputs. Here is I am adding more details on history:

1. I have started walking, jogging some time in Dec-15 say, per day appx 10-12 kms. And initial days it was just simple walk for 2-3 kms followed by brisk walk for 3-5 kms and over the 2 weeks time I am able to jog for min 10 kms alternative day and this continued for a month. I never had any cramps and pain in my legs except felt bit strain on/off. I am used to this long jog as I have habit of it. But I do on/off through year. Not regularly.
2. This pain is started some time in month of April-16.
3. I have changed my shoes almost 2 months ago(02-16) and I did couple of jogging n walking sessions using new shoes.
4. For first I thought it's because of new shoes. But not sure on that.
5. Yes, I walk n stand for almost 2 hrs per day (combined) and wear shoes almost throughout day except sleeping time.

Also, I have attached image of foot with marking pain area. One more clarification is that, initial days, I had same level of pain in both legs but now, I don't see an issue with left leg.

Answered by Dr. Dr. Naveen Kumar Sharma (7 hours later)

Brief Answer:
you are having planter fasciitis

Detailed Answer:
Hello,
Thanks for replying. You are having planter fasciitis. In this condition there is pain in heel or around ankle. This is due to prolong walking or standing. It is more if you walk bare feet or tight shoes.Some time there is no obvious cause.I have following suggestions for you.
1.Hot water fomentation
2.Tablet Etoricoxib 90 mg one daily.
3.Sillicone insole are available in market and on line. You can wear them in your shoes.
4.Make sure your blood sugar is under control. Avoid fatty diet. Try to lose weight if possible.
5.tablet Tendocare one daily for three months.
6.Steroid injection can be given in case treatment by medicine is not working.
thanks

Above answer was peer-reviewed by : Dr. Sonia Raina